HomeMy WebLinkAboutM2019-0059 - Permit ApplicationMm'FQ„ .? x Worksheet for Combo Building & Solar Permit Application a `W`°"'m
r Comm'I r Resident at I "201 q -005q City of Newport Beach -Building DivisiorPUBLIC WORKS �
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ° .a.+'
Yguilding F- Grading rDrainage r'Elec rMech r— Plum' Cu YdC#ARBQRdPIII MIT
Project Address (Not mailing address) r Flood r Fire rOIT0GtlNEWf r BEACH
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Beach q 2.WO 7/a(/l
of Work
Use Const Type
'�esscription
9D
1 -eM P' Q
# Stories', # Units (if Res)[-
d1rnPansior�s U�� uta y ReVs� piliv� ivy extSfii�►
New/Add SF F_Remodel 5FF7-
Garage/New/Add
Valuation $ 11r _
Material/Labor X310/ ®o®
OWNER'S NAME Last W DrCA
First I oD `'1 r)
Owner's Address
Owner's E-mail Address
_ la - _ _
Tv�ef,w,, ordand brown -c>om
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City fV_. or'-- BcAd 1 State (�� Zip C{2tVtvQ Telephone: i -• 7,3�j3'3 _
APPLICANT'S NAME Last (MORALES
First MARISSA
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA
Zip 92683 Telephone949-631-3121
ARCHITECT/DESIGNER'S NAME Last Flrst F Lic. No
ArchitectIDesignees Address
Architect/Designees E-mail Address
City State F
Zip F � Telephoned
ENGINEER'S NAME Last PETROV
First PLAMEN Lic. No. 66947
Engineer's Address
Engineer's E-mail Address
28191 CASITAS COURT
P.PETROV@PMA-BG.COM
City LAGUNA NIGUEL State CA
Zip 92677 Telephone 714-717-7542
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK AND PIER BUILDERS, IN6 Lic. No. 797052 ClassFA
Contractor's Address
Contractor's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City WESTMINSTER State CA
Zip 92683 Telephone949-631-3121
SETBACKS REAR SETBACKS FRONT
PERMIT NO. AA Z_�C) 1"
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. k7LL L 7-0 V1
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $